Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,906.00 / $10,980.89	Facility		$1,017.00	$2,906.00	$10,980.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $1,600.00 / $1,700.00	Professional		$312.50	$1,600.00	$1,700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.55 / $364.81 / $471.56	Facility		$291.55	$364.81	$471.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,917.93 / $1,917.93 / $1,917.93	Professional		$1,917.93	$1,917.93	$1,917.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $900.00 / $3,686.00	Facility		$165.00	$900.00	$3,686.00